Provider Home
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Provider Access
Provider Access is your connection to online eligibility, benefit, and claims information and other resources to make your job easier, so you have more time to spend on other important tasks.
Now patients can use their cell phone, BlackBerry™ or handheld device to locate a provider in their network and get details about that provider – anywhere they have mobile access!
Web Claims Submission
Submit HIPAA compliant EDI transactions with Blue Cross Blue Shield of Georgia today! Click Here.
Dental Providers
Click here to access important information for dental providers.
BlueCard Library
The BlueCard Library is your quick access to the essential BlueCard basics for every provider’s office. Since you may render services to patients from other Blue Cross and/or Blue Shield Plans, knowing about out-of-state policies and procedures may eliminate duplicate or unnecessary tasks.
Are you ready to discover a wealth of information about BlueCard Claims, Eligibility, Medicare, ID Cards, Key Contacts and other information?
Practice Guidelines
Click here to learn more about our practice guidelines.
Credentialing
In order to participate in the Physician Networks of Blue Cross Blue Shield of Georgia, Inc. (BCBSGa) and/or Blue Cross Blue Shield Healthcare Plan of Georgia (BCBSHP), you will need to complete the credentialing application and receive the approval of the Credentials Committee of BCBSGa and BCBSHP. Learn more now!
Click here for the CAQH Credentialing Website
Remittance Information
Quality Program Information
At Blue Cross Blue Shield Healthcare Plan of Georgia we want our members to remain healthy and receive quality health care coverage and service. To learn more Click here
Forms and Links
In our Forms Area are forms most frequently requested by our Providers. Some of the forms we have provided include the Provider Complaints and Appeals fax cover sheet, the Provider Information Change Form, Preventive Care Flow Sheets and the Non-Formulary/Prior Authorization Drug Request Form.
We've also assembled some Links to other Internet medical resources. Obviously, we can't be responsible for the content on sites other than our own (see our legal disclaimer for specifics), but we believe you might find the links of value in research or patient education. For more information on Forms and Links click here.
Feedback / Contact Us
This special area of our website has been created specifically for our Medical Providers. It's very important to us that you let us know what we can do to improve Provider Access
To contact us click here.
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